Trainer

· Should have exposure of handling batches remote or face to face.

· Basic understanding on excel, PPT, Ms word and reporting.

· Good knowledge on overall Medical Billing, Hospital billing, experience in Training, Coaching feedback, Client interaction.

· Good knowledge on Software like NG, ECW, Epic etc.

· Excellent communication written and verbal presentation skills.

· Experience in documenting workflows/Sops, processes.

· Collaborate with other departments on TNA and Make Training plan to address the knowledge gaps.

· Should be able to identify workflow gaps and standardization opportunities.

· Able to manage pressure deadlines.

· Adaptive learner and ready to pick up new areas to learn, should be able to Make Training modules and materials.

· Collaborator who can do multi - tasking.

· Initiative-taking, assertive and with a cheerful outlook

Responsibilities

· Follow Health Insurance Portability and Accountability Act (HIPAA) rules.

· Converting denials/ unpaid claims into payments by following claim resubmission, appeal, reconsideration processes

· Claim processing and claim submission methods.

· Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider.

· Taking denial status from various insurance carriers

· Checking eligibility and verification of policy

Analysis of the claim data

· 5+ years in RCM (AR, Billing, Charge validation, Credit balance review) AR 3 years is required. 1-year exp as Trainer on Role

Individual Contributor